Kuvhiyiwa moyo kugunun'una kunoitwa sei uye ndedzipi njodzi

Zvemukati

• Kuvhiyiwa kunoitwa sei
• Mhando dzekuvhiya
• Maitiro ekugadzirira oparesheni
• Ngozi dzekuvhiyiwa
• Kudzoreka sei

Izvo hazvidi kuita kuvhiyiwa kwezvese zviitiko zvekugunun'una kwemoyo, nekuti, muzviitiko zvakawanda, iri mamiriro asina kunaka uye munhu wacho anogona kugara nayo zvakajairika pasina matambudziko makuru ehutano.

Pamusoro pezvo, muvacheche nevana, zvakajairika kuti kugunun'una kungogara kwemwedzi mishoma kana makore uye kuzvigadzirisa zvakasarudzika, sezvo zvimiro zvemwoyo zvichiri kukura.

Nekudaro, kuvhiyiwa kunoratidzwa mune zviitiko apo kugunun'una kunokonzerwa nechimwe chirwere, chemhasuru kana mavharuvhu emoyo, izvo zvinokanganisa mashandiro ayo, sekutetepa kwakanyanya kana kusakwana, kusvika pakukonzera zviratidzo zvakaita sekufema, kuneta kana kurova marara, semuenzaniso. Nzwisisa zvirinani kuti chii uye chii chinokonzeresa moyo kugunun'una kwevakuru nevana.

Kuvhiyiwa kunoitwa sei

Kuvhiya kugadzirisa chirwere chemwoyo kunoratidzwa nachiremba wezvemwoyo uye chiremba wechiremba, uyo anosarudza, pamwe chete, mhando yepamusoro yekuvhiya kushandura munhu wega wega.

Kazhinji, usati wavhiyiwa, kurapwa nemishonga yekuvandudza mamiriro uye kudzora zviratidzo kunogona kuyedzwa, nekushandisa Hydralazine, Captopril kana Furosemide, semuenzaniso, izvo zvinogona kubatsira vamwe vanhu. Nekudaro, kana zviratidzo zvikanyanya kana zvisingaite nemushonga, nzira yekuvhiya ingave iri yakanakisa imwe nzira yekuvandudza hupenyu hwomwana kana hwevakuru.

Kuronga mashandiro ekuvhiya, kuongororwa kwepamberi kunoitwa, nebhatiri rekuongororwa kweropa, senge kuverenga kweropa uye coagulogram, uye kufungidzira, senge echocardiogram, electrocardiogram, chest X-ray uye catheterization yemoyo, semuenzaniso.

Mhando dzekuvhiya

Kuvhiya uku, kwemwana nevakuru, kunoitwa zvichienderana nehurememwoyo hunofanira kugadziriswa, hunogona kuve:

• Kuderedza kwevhavha yemoyo, iyo inowoneka muzvirwere zvakaita semitral, aortic, pulmonary kana tricuspid stenosis: kudhonza kwebhaluni kunogona kuitwa kuburikidza nekachetter kanounzwa mukati memoyo uye kunovhenekera chibharumu munzvimbo chaiyo, kana nekuvhiya, uko moyo kururamisa vharafu kana, mune dzimwe nguva, vheji yekugadzira inotsiviwa;
• Valve kusakwana, izvo zvinoitika muzviitiko zve mitral vharuvhu kuwanda kana kusakwana kwemavharuvhu, senge aortic, mitral, pulmonary uye tricuspid: kuvhiya kunogona kuitwa kugadzirisa kukanganisa muvhavha kana kutsiva vharafu neyakagadzirwa;
• Congenic cardiopatics, sevacheche vane interatrial (IAC) kana interventricular (CIV) kutaurirana, kuenderera ductus arteriosus, kana tetralogy yeFallot, semuenzaniso: kuvhiya kunoitwa kugadzirisa kukanganisa mumhasuru yemwoyo.

Muzviitiko zvakawanda, nzira imwechete inodiwa kuti uvandudze mashandiro emoyo uye kudzikisira zviratidzo, zvisinei, muzviitiko zvakaomarara, kuvhiya kunopfuura kamwe kunogona kudikanwa.

Maitiro ekugadzirira oparesheni

Zvekuvhiya, nguva yekutsanya inodikanwa, iyo inosiyana zvichienderana nezera, iine avhareji yemaawa mana kusvika matanhatu evana uye 8 h yevana vanopfuura makore matatu nevakuru. Maitiro acho anoitwa pasi peanesthesia, uye iyo nguva yekuvhiya inoenderana nerudzi rwayo, asi inosiyana pakati peanenge maawa mana kusvika masere.

Ngozi dzekuvhiyiwa

Chero kuvhiyiwa kwemoyo kwakasimba nekuti kunosanganisira kutenderera kwemoyo uye kweropa, zvisinei, mazuva ano njodzi dzakaderera, nekuda kwehunyanzvi hutsva hwemishonga uye zvekuvhiya.

Mamwe matambudziko asingatomboitika mukuvhiya kwemoyo kubuda ropa, hutachiona, infarction, kusungwa kwemoyo kana kurambwa kwevhavha, semuenzaniso. Aya marudzi ezvinetso anogona kudzivirirwa nekuita pre uye kutumira zvakanaka, uchiteedzera ese mirairo yechiremba.

Kudzoreka sei

Mushure mekuvhiyiwa, iyo nguva yekuvhiya inoitwa muICU, kweanenge mazuva maviri, uyezve kuteedzerwa kuri mumba yewadi, uko mwana kana munhu mukuru anogona kugara kwemazuva angangoita manomwe, pamwe nekuongororwa nachiremba wezvemwoyo, kusvikira aburitswa. kubva kuchipatara. Munguva ino, kuwedzera pakushandisa mishonga yekusagadzikana uye kurwadziwa, senge Paracetamol, physiotherapy inogona kutangwa kusimba uye kufema kugadzirisa mushure mekuvhiyiwa.

Mushure mekuburitsa kumba, iwe unofanirwa kutevedzera mamwe marongero, akadai se:

• Shandisa mishonga yakatemwa nachiremba;
• Usaedze, kusara kweavo vanokurudzirwa nachiremba wepanyama;
• Iva nechikafu chakaringana, nechikafu chakazara nefibre, michero, miriwo uye zviyo zvakazara, senge oats neflakisi mbeu, uye kudzivirira chikafu chine mafuta kana chine munyu;
• Endai kunodzokera kunodzokorodza cardiologist kuti uongororezve;
• Fungidzira kudzoka kana kuonana nachiremba nekukasira muzviitiko zvefivha inopfuura 38 shortC, kufema kwakanyanya, kurwadziwa kwakanyanya, kubuda ropa kana bundu pachironda.

Dzidza zvakawanda nezve kupora kubva pakuvhiya kwemoyo wemwana uye nekuvhiya kwemoyo mukuru.